Prevalência e fatores de risco para insuficiência renal aguda no pós-operatório de revascularização do miocárdio

Brito, Dyego José de Araújo; Nina, Vinicius José da Silva; Nina, Rachel Vilela de Abreu Haickel; Neto, José Albuquerque de Figueiredo; Oliveira, Mário Norberto Sevílio de; Salgado, João Victor; Lages, Joyce Santos; Filho, Natalino Salgado

doi:10.1590/s0102-76382009000400007

Cited by 19 publications

(21 citation statements)

References 25 publications

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“…The ischemic acute syndrome may be secondary to the formation of atherosclerotic plaques or thrombus development [23] and thus suggest greater likelihood of ischemic attacks in other organs and systems leading to hypoperfusion. This association was reported in other studies in patients who developed AKI [4,7].…”

Section: Discussionsupporting

confidence: 88%

“…Volkmann et al [20] demonstrated that AKI may be hidden in over 25% of patients who underwent CABG. Thus, the existence of a classification criterion to detect early kidney as well as a proposal to unify the classification/definition of AKI are essencial [4,6,7].…”

Section: Discussionmentioning

confidence: 99%

“…Of the 305 patients who underwent this type of surgery, 169 were included in the study after the application of inclusion and non-inclusion criteria, considering a prevalence of AKI of 30% [4] a sample power of 80% and an alpha error of 5%.…”

Section: Type Of Studymentioning

confidence: 99%

“…The term AKI is used to reflect the entire spectrum of what is defined as the abrupt reduction in renal function, in hours or days, in which acute renal failure (ARF) is characterized by a decrease in the glomerular filtration rate and/or urinary volume, in addition to the loss of basic functions, such as the inability to maintain the hydro-electrolyte and basic acid balance [2]. Most estimates demonstrates that over 30% of patients undergoing cardiac surgery develop clinically severe renal damage [3], with the need for dialysis ranging from 1.4% to 7% [4,5] and mortality rate of 5% to 44% [6,7].…”

Section: Introductionmentioning

confidence: 99%

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Acute kidney injury after coronary artery bypass grafting: assessment using RIFLE and AKIN criteria

Nina¹,

Matias²,

Brito³

et al. 2013

Revista Brasileira De Cirurgia Cardiovascular

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Section: Type Of Studymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Acute kidney injury after coronary artery bypass grafting: assessment using RIFLE and AKIN criteria

Nina¹,

Matias²,

Brito³

et al. 2013

Revista Brasileira De Cirurgia Cardiovascular

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“…Other authors also indicated the RF as a risk factor for prolonged ICU [28], and others only when it was an existing condition in the preoperative period [8,11,12]. Differences in values of RF risk indicators between different studies may be associated with the diagnosis itself.…”

Section: Bmi -Body Mass Index; Ef -Ejection Fraction; Oi-sc -Oxygenatmentioning

confidence: 99%

Risk factors for prolonged hospital stay after isolated coronary artery bypass grafting

Oliveira¹,

Turquetto²,

Tauil³

et al. 2013

Revista Brasileira De Cirurgia Cardiovascular

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353Rev Bras Cir Cardiovasc | Braz J Cardiovasc SurgRev Bras Cir Cardiovasc 2013;28(3):353- ORIGINAL ARTICLE Abstract Introduction: Characteristics of the patient and the coronary artery bypass grafting may predispose individuals to prolonged hospitalization, increasing costs and morbidity and mortality.Objective: The objective of this study was to evaluate individual and perioperative risk factors of prolonged hospitalization in intensive care units and wards.Methods: We conducted a case-control study of 104 patients undergoing isolated coronary artery bypass grafting with cardiopulmonary bypass. Patients hospitalized >3 days in the intensive care unit or >7 days in the ward were considered for the study. The association between variables was estimated by the chi-square test, odds ratio and logistic regression; P ≤0.05 was considered statistically significant.Results: Hospital stay >3 days in the intensive care unit occurred for 22.1% of patients and >7 days in the ward for 27.9%. Among preoperative factors, diabetes (OR=3.17) and smoking (OR=4.07) were predictors of prolonged intensive care unit stay. Combining the pre-, intra-and postoperative variables, only mechanical ventilation for more than 24 hours (OR=6.10) was predictive of intensive care unit outcome. For the ward outcome, the preoperative predictor was left ventricular ejection fraction <50% (OR=3.04). Combining pre-and intraoperative factors, diabetes (OR=2.81), and including postoperative factors, presence of infection (OR=4.54) were predictors of prolonged hospitalization in the ward.Conclusion: Diabetes and smoking were predictors of intensive care unit outcome, and ejection fraction <50% of ward outcome. For the set of perioperative factors, prolonged hospitalization after isolated coronary artery bypass grafting was associated with mechanical ventilation >24 hours for the intensive care unit and presence of infection for the ward.Descriptors: Risk factors. Myocardial revascularization. Hospitalization. ResumoIntrodução: Características do paciente e da cirurgia de revascularização do miocárdio podem predispor à internação prolongada, aumentando custos e a morbimortalidade.Objetivo: Avaliar fatores de risco individuais e transoperató-rios para internação prolongada na unidade de terapia intensiva e na enfermaria. 354Rev Bras Cir Cardiovasc | Braz J Cardiovasc Surg Bras Cir Cardiovasc 2013;28(3):353-63 Oliveira EK, et al. -Risk factors for prolonged hospital stay after isolated coronary artery bypass grafting productivity [4,8], affecting family budgets, quality of life and increasing costs [1]. Bashour et al. [7] showed that, after cardiac surgery, many patients with prolonged hospital stay died soon after discharge and that the functional status of those who survived for a longer period was worse when compared with those who recovered faster. RevIn this context, the objective of this study was to identify pre-, intra-and postoperative risk factors for long hospitalizations in the ICU or the ward, of patients undergoing isolated CABG surgery w...

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Lung/Kidney Interactions: From Experimental Evidence to Clinical Uncertainty

Schnell

Vincent

Darmon

2014

Annual Update in Intensive Care and Emergency Medicine 2014

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Prevalência e fatores de risco para insuficiência renal aguda no pós-operatório de revascularização do miocárdio

Abstract: ARF was a frequent and severe postoperative complication associated with higher mortality and longer ICU stay, which presented as risk factors: longer CPB and cross-clamp times, mechanical ventilation > 24h and hemodynamic instability.

Cited by 19 publications

References 25 publications

Acute kidney injury after coronary artery bypass grafting: assessment using RIFLE and AKIN criteria

Acute kidney injury after coronary artery bypass grafting: assessment using RIFLE and AKIN criteria

Risk factors for prolonged hospital stay after isolated coronary artery bypass grafting

Lung/Kidney Interactions: From Experimental Evidence to Clinical Uncertainty

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